PATRICIA R BUSSMANN (NPI# 1730362906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730362906 |
| Entity Type | Individual |
| Full Name | PATRICIA R BUSSMANN |
| Credential | PA-C |
| Practice Address |
23 N Walnut St Boyertown PA 19512 |
| Mailing Address |
1601 Medical Dr Pottstown PA 19464-3241 |
| Practice Telephone | 6103672259 |
| Practice Fax Number | 6103670505 |
| Mailing Telephone | 6103274200 |
| Mailing Fax Number | 6103278160 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA002246 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053279 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PHYSICIAN ASSISTANT LIC | MA053279 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23 N Walnut St, Boyertown, PA 195121467 | 6103672259 | 6103670505 |
| Street Address |
23 N WALNUT ST |
| City | BOYERTOWN |
| State | PA |
| Zip Code | 19512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154318194 | Tom Mitros | Anesthesiology | 23 N Walnut St, Boyertown, PA 19512-1467 | 2005-10-04 |
| 1336740976 | Integrated Medical Group, P.C. | Family Medicine | 23 N Walnut St, Boyertown, PA 19512-1736 | 2020-11-02 |
| 1558873166 | Karli Michele Brubaker | Physician Assistant | 23 N Walnut St, Boyertown, PA 19512-1736 | 2017-11-05 |
| 1538582341 | Stacey Gayer | Physical Therapist | 23 N Walnut St, Boyertown, PA 19512-1467 | 2014-01-30 |
| 1730510298 | Mariah Lynn Stehle | Nurse Practitioner | 23 N Walnut St, Boyertown, PA 19512-1467 | 2013-12-10 |
| 1841266657 | Kenneth C Bingener | Family Medicine | 23 N Walnut St, Boyertown, PA 19512-1467 | 2006-02-23 |
| 1962477349 | Keith W Harrison | Family Medicine | 23 N Walnut St, Boyertown, PA 19512-1467 | 2006-02-21 |
| 1154396802 | Daniel J Maydonovitch | Family Medicine | 23 N Walnut St, Boyertown, PA 19512-1467 | 2006-02-17 |
| 1043285703 | Kimberly A Petruso | Family Medicine | 23 N Walnut St, Boyertown, PA 19512-1467 | 2006-02-17 |
| 1659346344 | Dennis J Schank | Family Medicine | 23 N Walnut St, Boyertown, PA 19512-1467 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996179 | Angelina Privitera | Counselor | 1093 Douglass Dr, Apt A, Boyertown, PA 19512 | 2020-09-11 |
| 1912476441 | Karen Lynn Jaindl-lozenski | Pharmacist | 1205 Benjamin Franklin Highway, Douglassville, PA 19512 | 2018-11-14 |
| 1841565983 | Rana N Dimmig | Social Worker | 100 Schaeffer St Ste 3, Boyertown, PA 19512 | 2012-03-21 |
| 1114041514 | Boyertown Medical Associates | Family Medicine | 23 N. Walnut St, Boyertown, PA 19512 | 2007-03-19 |
| 1508933656 | Creative Health Services Inc | Psychiatry & Neurology | Fifth Street and Montgomer, Boyertown Professional Center, Boyertown, PA 19512 | 2006-11-30 |
| 1316030315 | James Fraser Mason IIi | Dentist | 137 Montgomery Av, Suite 201, Boyertown, PA 19512 | 2006-10-02 |
| 1831280254 | Carmen Ranalli Morrison | Psychologist | Montgomery Avenue and Fifth Avenue, Suite 105-b, Boyertown, PA 19512 | 2006-09-28 |
| 1699877753 | Marie A Kershner | Dentist | 100 South Chestnut Street, Boyertown, PA 19512 | 2006-09-01 |
| 1114934544 | Kathleen Ann Irwin-stone | Counselor | 400 Sweinhart Rd, Boyertown, PA 19512 | 2006-08-01 |
| 1558527879 | Boyertown Chiropractic Group, PC | Chiropractor | 5th & Montgomery Ave, Suite 100, Boyertown, PA 19512-0385 | 2008-08-06 |
| Find all providers in zip 19512 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.